National Sport Academy ApplicationPlease enable JavaScript in your browser to complete this form.Information Required To Complete The Application - Step 1 of 11***BEFORE YOU BEGIN - Prepare To Complete The Application FormTo prepare for completing the National Sport Academy application package, please have the following information before you begin to complete the application. ONCE YOU BEGIN COMPLETING THE APPLICATION YOU WILL NOT BE ABLE TO SAVE THE INFORMATION AND RETURN TO IT LATER.Information Required To Complete The ApplicationReport Card. Please have your most recent report card so you will be able to email it to info@nationalsportacademy.comSport Resume. Please provide information such as: your sport goals / dreams, where you have played / competed / trained for the last 3 - 5 years, who your coaches have been during this time / their contact information, any individual recognition or team awards you may have received and any other information you would like us to know.Current Coach - Name & Contact Information.A Coach's Name & Contact Information - the name of the coach you would like us to send the online recommendation form.A Teacher's Name & Contact Information - the name of the teacher you would like us to send the online recommendation form.Parents / Guardians - names and contact informationEmergency Contact - name of the emergency contact person(s) and contact information.Medical Information - doctor's name, last tetanus shot.All fields with a red asterisk must be acknowledged with a check mark or data must be provided..Next Page - General InformationWelcome to the National Sport Academy Application FormHaving the necessary information identified above will make it easier to complete the National Sport Academy application form. ONCE YOU BEGIN COMPLETING THE APPLICATION YOU WILL NOT BE ABLE TO SAVE THE INFORMATION AND RETURN TO IT LATER.Date *Month, day, yearSport *Which school do you plan to attend in 2021 - 2022. *Central Memorial High SchoolR.T. AldermanAlternate School LocationNext Page - Student Athlete Personal InformationStudent Athlete Personal InformationFirst, Middle, Last Name *FirstMiddleLastPlease provide your legal surname / last name.Gender *FemaleMaleBirthdate *Month / Day / YearAddress *City *Province *Postal Code *Phone Number - Home *Phone Number - CellEmailNext - Student Athlete Academic & Athletic InformationStudent Athlete Academic & Athletic InformationCurrent School *Current Grade *Most Recent Report Card *Please email a copy of your most recent report card to info@nationalsportacademy.com. Please acknowledge you have read this by checking the box.Number Of Years Playing / Competing / Training In Your Sport *Position in Sport (if applicable) *Please identify the position(s) you play in your sport.Next - Sport HistorySport HistoryCurrent Coach - First & Last Name *Current Coach - Phone NumberCurrent Coach - Email AddressCurrent / Most Recent Team or Club - Indicate The Level You Are Training / Competing *Sport Resume *Please provide information such as: your sport goals / dreams, where you have played / competed / trained for the last 3 - 5 years, who your coaches have been during this time / their contact information, any individual recognition or team awards you may have received and any other information you would like us to know. Please email to info@nationalsportacademy.com. Please acknowledge you have read this by checking the box.Next - Coach & Teacher ReferencesCoach & Teacher ReferencesCoach's Name (As A Reference) *FirstLastPlease provide the name and email address for a coach reference. The National Sport Academy will email this coach a link and password so they may complete the online reference form.Coach's Email (As A Reference) *Teacher's Name (As A Reference) *FirstLastPlease provide the name and email address for a teacher reference. The National Sport Academy will email this teacher a link and password so they may complete the online reference form.Teacher's Email (As A Reference) *Next Page - Parent / Guardian InformationMother / Legal Guardian *FirstLastAddressSame As The Student Athlete (Do not complete the address information below)Address(Complete only if this address is different than the student athlete's address)City, Province, Postal Code(Complete only if this address is different than the student athlete's address)Email 1 *.Email 2Please indicate if there is a second email address NSA should use to contact you or another person to provide information.Home Phone Number(Complete only if this phone number is different than the student athlete's phone number )Phone Number - Cell Phone Number - BusinessFather / Legal Guardian *FirstLastAddressSame As The Student Athlete (Do not complete the address information below)Address(Complete only if this address is different than the student athlete's address)City, Province, Postal Code(Complete only if this address is different than the student athlete's address)Email 1 *Email 2Please indicate if there is a second email address NSA should use to contact you or another person to provide information.Home Phone Number(If differnet than the student athlete's)Phone Number - Cell Phone Number - BusinessChild Lives With: *Both ParentsMotherFather GuardianNext - Emergence Contact InformationEmergency Contact InformationName *FirstLastRelationship To Student Athlete *AddressCity, Province, Postal CodePhone - Home *Phone - CellPhone - BusinessNext - Medical InformationMedical InformationFamily DoctorMedical Conditions You Would Like NSA To Be Aware OfAllergiesCarry An Epi-Pen *YesNoAsthma *YesNoInhaler *YesNoLast Tetanus ShotOther InformationPhoto / Video Release Policy *I have read and understood the National Sport Academy Photo / Video Policy.The National Sport Academy uses photographs and video to produce educational and marketing / promotional tools. National Sport Academy photos and video which may include National Sport Academy student athletes may be used for this purpose and will be displayed in local arenas and community centers as well as on the National Sport Academy website, Facebook page and on Instagram. Photos and video may be kept on file at the National Sport Academy office for future use.Transportation/Equipment Policy For Athletes Training With The National Sport Academy (if applicable) *When student athletes begin their day at a National Sport Academy training session… Parents are responsible for their student athlete’s transportation to the training facility.When student athletes begin their day at school… Parents are responsible for their student athlete’s transportation to school.When student athletes train within the school timetable – not first thing in the morning… When the National Sport Academy training facility is not within walking distance, the National Sport Academy will provide transportation from the school to the training facility; after the training session the National Sport Academy will provide transportation from the training facility back to the school for their next class.When student athletes end their day at a National Sport Academy training session… Parents are responsible for their student athlete’s transportation home from the training facility.When student athletes end their day at school… Parents are responsible for their student athlete’s transportation home from school.All National Sport Academy student atheltes are required to supply all of thier own personal training equipment. Please discuss with your National Sport Academy sport coaches if there are any specific equipment requirements.Next - Financial InformationNational Sport Academy Deposit - Payable At The Time The Application Is Submitted *A deposit of $750.00 is required at the time the application is submitted. Send a cheque (payable to: National Sport Academy) or email an e-transfer to finance@nationalsportacademy.com. Applications will not be considered processed until the deposit is received.Prior to August 1, 2021 you will be provided with a statement of account and a reminder of the schedule for future payments. The schedule for future payments on the balance of the National Sport Academy fees is:August 1, 2021 - 25 % of the balanceSeptember 1, 2021 - 25 % of the balanceOctober 1, 2021 - 25 % of the balanceNovember 1, 2021 - 25 % of the balanceNext - Terms & Conditions Of EnrollmentTerms & Conditions Of Enrollment *Once a National Sport Academy student athlete has been accepted into the National Sport Academy, no portion of the fees, paid or outstanding, will be refunded or cancelled in the event of the student’s absence, withdrawal or dismissal from the National Sport Academy.If a student athlete is injured during the 2021 - 2022 school year, they are continually supported by the NSA/CBE school environment while recovering. No refunds will be issued.I have read and understood the National Sport Academy Transportation and Equipment Policy.I have read and understood the National Sport Academy Photo / Video Release Policy.WebsiteSubmit